DENTAL PROFESSIONALS, PLC (NPI# 1780851972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780851972 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONALS, PLC |
| Practice Address |
200 N B St Indianola IA 50125-2429 |
| Practice Telephone | 5159618411 |
| Practice Fax Number | 5159621810 |
| Mailing Telephone | 5159618411 |
| Mailing Fax Number | 5159621810 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |
| Authorized Official Name | DR. GARY L JACOBSEN (PRESIDENT) |
| Authorized Official Telephone | 5159618411 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
07648J | IA | Dental Providers |
| Street Address |
200 N B ST |
| City | INDIANOLA |
| State | IA |
| Zip Code | 50125-2429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205895166 | Gary Lee Jacobsen | Dentist | 200 N B St, Indianola, IA 50125-2429 | 2006-03-20 |
| 1508404245 | Iowa Dental Health Professionals, P.C. | Dentist | 200 N B St, Indianola, IA 50125-2429 | 2019-12-12 |
| 1013091545 | John Joseph Vespa | Dentist | 200 N B St, Indianola, IA 50125-2429 | 2006-10-24 |
| 1174605976 | Jeremy Allen Pins | Dentist | 200 N B St, Indianola, IA 50125-2429 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316583107 | Mach3 Physical Therapy and Wellness | Clinic/Center | 938 East Hillcrest Ave, Suite A, Indianola, IA 50125 | 2019-11-27 |
| 1023667995 | Bonnie Dufault | Technician | 2402 West Euclid Ave, Indiana, IA 50125 | 2019-09-04 |
| 1407307499 | Traci Rudolf-hanrahan | Social Worker | 310 North Buxton Street, Indianola, IA 50125 | 2016-10-14 |
| 1548544216 | Long Term Medical Supply Corp | Durable Medical Equipment & Medical Supplies | 126 N Howard St, Suite 102, Indianola, IA 50125 | 2011-09-29 |
| 1629272836 | Michael James Hadden | Specialist/Technologist | Simpson College, 701 North C Street, Indianola, IA 50125 | 2007-06-12 |
| 1245440221 | Indianola Ia Assisted Living | Assisted Living Facility | 608 South 15th St., Indianola, IA 50125 | 2007-05-22 |
| 1689769432 | Michele Tingle | Emergency Medicine | 9128 87th Ln, Indianola, IA 50125 | 2006-10-04 |
| 1538114764 | Sue Marie Peterson | Specialist/Technologist | 1507 N 1st St, Indianola, IA 50125 | 2006-05-24 |
| 1124079934 | Jonathan P Anderson | Optometrist | 225 W Ashland, Ste 1, Indianola, IA 50125 | 2006-05-15 |
| 1528025533 | Jessica A Espenmiller | Occupational Therapist | 1507 North 1st St, Indianola, IA 50125 | 2006-04-26 |
| Find all providers in zip 50125 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477808541 | Courtney Lynn Struthers | Dentist | 221 W Ashland Ave, Indianola, IA 50125-2422 | 2012-07-16 |
| 1336308014 | Indianola Dental Associates Inc PC | Dentist | 212 North Buxton, Indianola, IA 50125-2431 | 2008-06-06 |
| 1649463977 | Kenneth C Beal Jr. | Dentist | 913 B.b. King Road, Indianola, MS 38751 | 2007-08-21 |
| 1679602122 | Alan L Boone | Dentist | 204 S Howard St, Indianola, IA 50125-2515 | 2007-03-02 |
| 1730220690 | William Bradford Jenkins | Dentist | 211 Highway 82 E, Indianola, MS 38751-2234 | 2007-02-12 |
| 1679657951 | Julia R. Hill | Dentist | 104 W Gresham St, Indianola, MS 38751-2199 | 2006-10-24 |
| 1710958863 | Thomas Ray Cooney | Dentist | 215 N Buxton St, Indianola, IA 50125-2430 | 2006-01-27 |
| 1508404245 | Iowa Dental Health Professionals, P.C. | Dentist | 200 N B St, Indianola, IA 50125-2429 | 2019-12-12 |
| 1295056034 | Cassey A. Rose | Dentist | 104 W Gresham St, Indianola, MS 38751-2199 | 2010-06-16 |
| 1770735565 | Indianola Family Dentistry Plc | Dentist | 212 N Buxton St, Indianola, IA 50125-2431 | 2008-10-13 |
| Find all providers in INDIANOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.